Utilization Review Manager - Home Care jobs in Montana

Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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Care Manager RN – Utilization Review
  • Providence
  • Missoula, MT OTHER
  • Description

    Care Manager RN in Utilization Review Unit at Providence St. Patrick Hospital, Missoula, MT

    The Nurse Case Manager (NCM) is responsible to manage a caseload of patients across the continuum of healthcare services and assure optimal quality outcomes, patient satisfaction, and appropriate use of resources. The NCM is responsible for directing an organized, patient-centered interdisciplinary team system that coordinates the delivery of healthcare services by continually monitoring, evaluating, and modifying the treatment plan to achieve optimal patient outcomes and efficacious use of resources. The NCM coordinates with physicians, Case Management Social Worker, and other health team members to expedite medically appropriate, cost-effective care and promote quality through evidence based medical practice throughout the health care system.

    Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence St. Patrick Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

    Shift details: This is a part-time, 0.8 FTE (32 working hours), variable shift position.

    Required Qualifications:

    • Graduate of an accredited school of nursing Or

    • Graduate of an accredited health information technology program.

    • Upon hire: Montana Registered Nurse License

    • 3 years of experience in Clinical Nursing

    • Hospital case management experience

    Preferred qualifications:

    • Upon hire: Current Case Manager Certification

    Why Join Providence?

    Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

    About Providence

    At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

    About the Team

    Providence has a long-standing tradition of caring for residents in western Montana since the Sisters of Providence arrived in the state in 1864. As one of Montana’s largest health care providers, Providence works collaboratively across traditional boundaries to develop patient-centered practices that help make lifelong quality care accessible and affordable.

    Our award-winning and comprehensive medical centers include Providence St. Patrick Hospital in Missoula and Providence St. Joseph Medical Center, a critical access hospital in Polson. Our not-for-profit network of services also include physicians, more than 40 clinics, care centers, hospice and home health programs, and other diverse community services.

    Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

    Requsition ID: 267984
    Company: Providence Jobs
    Job Category: Care Management
    Job Function: Clinical Care
    Job Schedule: Part time
    Job Shift: Variable
    Career Track: Nursing
    Department: 3500 UTILIZATION REVIEW
    Address: MT Missoula 500 W Broadway
    Work Location: St Patrick Hospital-Broadway Bldg-Missoula MT
    Pay Range: $36.40 - $57.63
    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

  • 9 Days Ago

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Utilization Review RN
  • billingsclinic
  • Billings, MT FULL_TIME
  • May be eligible for $3,000 sign on incentiveMay be eligible for relocation assistanceMay be eligible for tuition loan reimbursementUnder the direction of department leadership, the Utilization Review/...
  • 1 Day Ago

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Utilization Review RN
  • Billings Clinic
  • Billings, MT FULL_TIME
  • You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the...
  • 20 Days Ago

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Utilization Review RN
  • Billings Clinic Health System
  • Billings, MT OTHER
  • May be eligible for $3,000 sign on incentiveMay be eligible for relocation assistanceMay be eligible for tuition loan reimbursementUnder the direction of department leadership, the Utilization Review/...
  • 28 Days Ago

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Branch Manager - Home Care
  • Confidential - Health Care
  • Great Falls, MT FULL_TIME
  • Join an organization founded in faith passionately serving people with a purpose. We believe our top priority is taking care of people who take care of people.Our company is searching for experienced ...
  • Just Posted

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Home Care Caregiver
  • Eden Health (Home Health, Hospice, Home Care)
  • Lodge, MT FULL_TIME
  • Eden Home Care is searching for a full-time, moving-and-shaking, highly empathetic, amazingly talented, “won’t let anything stand in my way” Caregiver to provide in-home services to our patients throu...
  • 11 Days Ago

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Environmental and Utilities Manager
  • Leprino Foods
  • Lubbock, TX
  • For our future state-of-the art 600+ person Lubbock, TX cheese and whey manufacturing facility, Leprino is seeking an En...
  • 6/11/2024 12:00:00 AM

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Gas Utilities Manager
  • Accenture
  • Austin, TX
  • We Are: Our Utility Industry, Transmission & Distribution Practice is powering the progress to a safe, connected, and su...
  • 6/10/2024 12:00:00 AM

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Director Utilization Management
  • Heritage Valley Health System, Inc.
  • Beaver, PA
  • Department: Utilization Review. Work Hours: Primarily Monday through Friday, extended hours as needed to support organiz...
  • 6/9/2024 12:00:00 AM

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Supervisor, Utilization Management
  • Centene Corporation
  • Tallahassee, FL
  • You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Managem...
  • 6/9/2024 12:00:00 AM

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Utilization Management Specialist
  • Blue Cross and Blue Shield Association
  • Meridian, ID
  • Our Utilization Management Rep will coordinate and manage incoming and outgoing correspondence to include referrals, pri...
  • 6/9/2024 12:00:00 AM

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Director of Utilization Management
  • Oceans Healthcare
  • Jackson, MS
  • Description The Director Utilization Management is responsible for oversight and management of all utilization review/ca...
  • 6/8/2024 12:00:00 AM

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Manager, Utilization Management
  • Hiring Now!
  • New York, NY
  • Creates and upholds policies and procedures for coverage determinations. Serves as subject matter expert for Medicare co...
  • 6/8/2024 12:00:00 AM

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Director Utilization Management
  • Heritage Valley Health System
  • Beaver, PA
  • Department: Utilization Review Work Hours: Primarily Monday through Friday, extended hours as needed to support organiza...
  • 6/7/2024 12:00:00 AM

Montana (/mɒnˈtænə/ (listen)) is a landlocked state in the Northwestern United States. Montana has several nicknames, although none are official, including "Big Sky Country" and "The Treasure State", and slogans that include "Land of the Shining Mountains" and more recently "The Last Best Place". Montana is the 4th largest in area, the 8th least populous, and the 3rd least densely populated of the 50 U.S. states. The western half of Montana contains numerous mountain ranges. Smaller island ranges are found throughout the state. In all, 77 named ranges are part of the Rocky Mountains. The easte...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$71,528 to $91,186